Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Corporate Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R MCMILLAN (VP FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1500 SOUTHWEST BLVD, STE C, JEFFERSON CITY, MO 65109
(573) 632-5786
(573) 632-5833
Mailing address
1500 SOUTHWEST BLVD, STE C, JEFFERSON CITY, MO 65109
(573) 632-5786
(573) 632-5833
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4199
MO
Other
Enumeration date
02/13/2006
Last updated
08/22/2020
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